中国医院用药评价与分析
中國醫院用藥評價與分析
중국의원용약평개여분석
Evaluation and Analysis of Drug-Use in Hospitals of China
2015年
11期
1459-1462
,共4页
抗菌药物%销售金额%用药频度%合理用药
抗菌藥物%銷售金額%用藥頻度%閤理用藥
항균약물%소수금액%용약빈도%합리용약
Antibiotics%Consumption sum%DDDs%Rational use of drug
目的：评价复旦大学附属上海市第五人民医院（以下简称“我院”）门、急诊药房抗菌药物的应用情况。方法：对我院2012—2014年门、急诊药房抗菌药物的销售金额、用药频度（ defined daily dose ，DDDs）、日均费用等进行回顾性分析。结果：2012—2014年我院门、急诊患者抗菌药物销售金额占药品总销售金额的比例保持稳定；头孢菌素类、大环内酯类药物的销售金额排序各年度均居前列；乳糖酸阿奇霉素的销售金额3年来均位居首位；而DDDs排列居前3位的为头孢呋辛酯片、左氧氟沙星片和阿奇霉素片。结论：我院门、急诊药房抗菌药物应用基本合理，但个别药物有滥用的趋势，应进一步加强监管，促进抗菌药物的合理应用。
目的：評價複旦大學附屬上海市第五人民醫院（以下簡稱“我院”）門、急診藥房抗菌藥物的應用情況。方法：對我院2012—2014年門、急診藥房抗菌藥物的銷售金額、用藥頻度（ defined daily dose ，DDDs）、日均費用等進行迴顧性分析。結果：2012—2014年我院門、急診患者抗菌藥物銷售金額佔藥品總銷售金額的比例保持穩定；頭孢菌素類、大環內酯類藥物的銷售金額排序各年度均居前列；乳糖痠阿奇黴素的銷售金額3年來均位居首位；而DDDs排列居前3位的為頭孢呋辛酯片、左氧氟沙星片和阿奇黴素片。結論：我院門、急診藥房抗菌藥物應用基本閤理，但箇彆藥物有濫用的趨勢，應進一步加彊鑑管，促進抗菌藥物的閤理應用。
목적：평개복단대학부속상해시제오인민의원（이하간칭“아원”）문、급진약방항균약물적응용정황。방법：대아원2012—2014년문、급진약방항균약물적소수금액、용약빈도（ defined daily dose ，DDDs）、일균비용등진행회고성분석。결과：2012—2014년아원문、급진환자항균약물소수금액점약품총소수금액적비례보지은정；두포균소류、대배내지류약물적소수금액배서각년도균거전렬；유당산아기매소적소수금액3년래균위거수위；이DDDs배렬거전3위적위두포부신지편、좌양불사성편화아기매소편。결론：아원문、급진약방항균약물응용기본합리，단개별약물유람용적추세，응진일보가강감관，촉진항균약물적합리응용。
OBJECTIVE:To evaluate the application of antibiotics in the outpatient and emergency pharmacy of the Fifth People's Hospital of Shanghai , Fudan University ( hereinafter referred to as “our hospital”) . METHODS:Retrospective analysis was conducted on the application of antibiotics in the outpatient and emergency pharmacy during 2012-2014 in respect of the consumption sum and DDDs and DDC , etc.RESULTS: As for the consumption sum , the proportion of antibiotics in the total medicines were stable yearly; cephalosporins and macrolides took the lead of the consumption sum list in each year;azithromycin lactobionate dominated the first place during the three years .Cefuroxime axetil , Levofloxacin and Azithromycin tablets ranked the top three in terms of DDDs .CONCLUSIONS:The application of antibiotics in outpatient and emergency pharmacy of our hospital is basically rational .But certain antibiotics have the trend of abuse .It is necessary to further strengthen the supervision so as to promote rational use of antibiotics .
